Thalimid® 100mg Capsules (Thalidomide) – Immunomodulator (Rx)

Quick answer: Thalimid 100mg (thalidomide) is an oral capsule for multiple myeloma, a cancer of the bone marrow. It can cause serious birth defects, so strict pregnancy prevention applies to every patient. MedHub supplies it on prescription and delivers across Pakistan.

For patients and families

What is Thalimid 100mg?

Thalimid 100mg is a capsule that contains 100 mg of thalidomide, made in Pakistan by Pharmasol. Thalidomide is an immunomodulator. It changes how the immune system and the bone marrow behave, which slows the growth of myeloma cells and reduces the blood supply that feeds them.

Important: pregnancy prevention

Thalidomide causes severe, life-threatening birth defects if an unborn baby is exposed to it, even in a single dose. A woman who is pregnant must never take it or handle the capsules. Women who could become pregnant need a negative pregnancy test before they start, regular tests during treatment, and two reliable forms of contraception, starting before treatment and continuing after it ends. Men must use a condom during sex with a woman who could become pregnant, even after a vasectomy. Nobody should give blood or sperm while taking it. Your doctor explains the full rules.

What is it used for?

Doctors prescribe thalidomide for:

• Multiple myeloma: newly diagnosed disease, together with dexamethasone.
• Erythema nodosum leprosum: the painful skin nodules that can appear during leprosy treatment.

Your haematologist decides whether this medicine suits your condition.

How is it taken?

Swallow the capsule whole with water, usually in the evening, because it can cause drowsiness. Your doctor decides the dose. Do not open or crush the capsule. A caregiver who must touch the capsules should wear gloves, and returned or unused capsules go back to your pharmacist, not into household waste.

Common side effects

• Sleepiness, dizziness and tiredness
• Constipation
• Tingling, numbness or pain in the hands and feet
• Swelling of the ankles and a skin rash
• Low blood counts

Tell your care team straight away about a painful swollen leg, chest pain, sudden breathlessness, fever, a severe rash or new numbness, because thalidomide can cause blood clots and nerve damage.

Storage

Keep the capsules in the original pack, below 30°C and away from damp. Store them well out of the reach of children and anyone who could be pregnant.

How to order from MedHub

1. Send a photo of your prescription on WhatsApp.
2. Our pharmacist confirms the price and stock with you.
3. We deliver the capsules securely to your home or hospital.

Families in the UAE, UK and Saudi Arabia often send us a relative’s prescription for a patient in Pakistan. If your doctor chooses a related medicine, look at Lenaido 10mg (lenalidomide), and see more under our haematology medicines.

For healthcare professionals

• Composition: thalidomide 100 mg per hard capsule
• Drug class: immunomodulatory agent with anti-angiogenic and antineoplastic activity
• Indications: newly diagnosed multiple myeloma in combination with dexamethasone; acute cutaneous manifestations of moderate to severe erythema nodosum leprosum (ENL)
• Mechanism: modulates cytokine production including TNF-alpha, inhibits angiogenesis and enhances T-cell and NK-cell activity, which leads to antimyeloma effects
• Label dose: multiple myeloma 200 mg orally once daily with dexamethasone 40 mg on days 1–4, 9–12 and 17–20 of a 28-day cycle (per the reference label); ENL 100–300 mg once daily at bedtime; adjust for neuropathy, neutropenia and other toxicity
• Monitoring / key precautions: BOXED WARNING for embryofetal toxicity: contraindicated in pregnancy; pregnancy tests before, during and after therapy, and two effective contraceptive methods for women of childbearing potential; condoms for men; no blood or semen donation. Provide thromboprophylaxis because of venous and arterial thromboembolism risk. Monitor for peripheral neuropathy, sedation, bradycardia, neutropenia, seizures, tumour lysis syndrome and severe skin reactions.
• Storage: below 30°C, protected from moisture
• Manufactured and marketed in Pakistan by: Pharmasol (Pvt) Ltd
• Pack: 10 capsules

Frequently asked questions

What is Thalimid 100mg used for?

Thalimid 100mg treats multiple myeloma, together with dexamethasone, and the skin nodules of erythema nodosum leprosum.

What is the Thalimid 100mg price in Pakistan?

Thalimid 100mg costs Rs 1,660 per pack of 10 capsules. Prices can change with supply, so message us on WhatsApp for today’s price before you order.

Can I get Thalimid 100mg in Lahore, Karachi or Peshawar?

Yes. MedHub delivers across Pakistan, including Islamabad, Rawalpindi, Lahore, Karachi, Peshawar, Multan and Faisalabad.

Do I need a prescription for Thalimid 100mg?

Yes. It is a prescription-only medicine. Send a clear photo of the prescription on WhatsApp, and our pharmacist checks it before confirming your order.

How do I take Thalimid 100mg?

Swallow each capsule whole with water, usually in the evening, as your doctor directs. Do not open, crush or share the capsules.

How should I store Thalimid 100mg?

Store it below 30°C in the original pack, away from moisture, and keep it where children and pregnant women cannot reach it.

Is Thalimid 100mg safe in pregnancy?

No. Thalidomide causes severe birth defects, so pregnant women must never take or touch it. Women who could become pregnant need pregnancy tests and two forms of contraception, and men need condoms.

Can I order Thalimid 100mg for my parents in Pakistan from abroad?

Yes. Many families in the UAE, UK and Saudi Arabia order through MedHub. Share the prescription on WhatsApp, and our team guides you through payment and delivery.

Last updated: 3 October 2026

This information is for general awareness only and is not medical advice. Always consult your doctor before starting, stopping or changing any medicine.